Can screen time help concussion recovery in kids? SuperBowlLVII CME MedTwitter
Current recommendations to restrict screen time after concussion largely reflect expert opinion and findings from 1 randomized controlled trial. Some clinical guidelines recommend screen avoidance for 1 to 2 days before gradually resuming use as tolerated, whereas others mention gradual return in the context of return-to-school strategies.
The findings differ from a 2021 study by researchers at the University of Massachusetts Medical School that found that screen time slowed recovery. Why the clashing results? “I think what it comes down to are differences in study design,” said Dr Cairncross. While the earlier study measured screen use in the first 48 hours, and recovery over the course of 10 days, “we focused on screen time use over the first 7 to 10 days, and tracked recovery over 6 months,” she said.
Old advice involved lying in a quiet, dark room for days, but recent evidence reveals that such “cocoon therapy” may actually prolong symptoms. “The most important thing to stress with concussion is full recovery before complete return to activity,” Dr Labiner says.This planned secondary analysis of a prospective longitudinal cohort study included 633 children and adolescents with acute concussion and 334 with OI aged 8 to 16 years, recruited from 5 Canadian pediatric emergency departments.
The association of screen use during postacute recovery with parent-reported cognitive symptoms or self-reported somatic symptoms did not differ in the OI vs postconcussive group. Children and adolescents with concussion with the worst prognosis had similar recovery trajectories regardless of their early screen time.Risk factors and health behaviors other than screen time had stronger associations with symptom severity.
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